Organization
ADVANCED THERAPY SURFACES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAROL LYNN ANDERSON RN, MSN (PRESIDENT)
(651) 762-1717
Entity
Organization
Contact information
Practice address
2495 MAPLEWOOD DR, SUITE 314, MAPLEWOOD, MN 55109-1913
(651) 762-1717
(651) 762-8549
Mailing address
2495 MAPLEWOOD DR, SUITE 314, MAPLEWOOD, MN 55109-1913
(651) 762-1717
(651) 762-8549
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
58G85AD
BCBS DME PROVIDER NUMBER
MN
05
—
627682200
—
MN
Enumeration date
08/23/2005
Last updated
05/02/2008
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